- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Provider Quality Audit Professional 2 operates within well-defined guidelines ... to determine appropriate methods, techniques, and analytical strategies. The ** Provider Quality Audit Professional...and microwave connection can be used only if they provide an optimal connection for associates. The use of… more
- General Motors (Annapolis, MD)
- …people leader responsible for overseeing the development and implementation of audit methodologies, quality assurance, and training programs. Additionally, this ... What You'll Do - * Lead and manage the Professional Practices Group within GM Audit Services.... staff. * Collaborate with leadership team to align audit practices with organizational goals. * Provide … more
- Elevance Health (Woodlawn, MD)
- ** Audit & Reimbursement Senior** _Location:_ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... Medicare and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC)… more
- WelbeHealth (Annapolis, MD)
- **Claims Audit Analyst** At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable ... senior population while serving as a care provider and care plan to those individuals we serve....excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely… more
- Cherry Bekaert (Annapolis, MD)
- …Cherry Bekaert LLP and Cherry Bekaert Advisory LLC, independently owned entities, provide professional services in an alternative practice structure in ... from you. Let's grow your career as an **Insurance Audit Manager** supporting our Louisville practice. **We will consider...client deliverables are provided in a timely manner. + Provide the engagement partner with timely status updates and… more
- Robert Half Finance & Accounting (Columbia, MD)
- …and the completion of consulting and attestation projects with a focus on quality and professional standards. + Compliance Excellence: Ensure workpapers adhere ... Description Are you a seasoned professional passionate about information security and compliance? A...put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits,… more
- Carrington (Owings Mills, MD)
- …The target pay range for this position is $85,000.00 to $95,000.00. + Provide evidence in response to audit engagement or other assessments/state exams. ... from home!** **What you'll do:** Responsible for the timely and accurate response to audit and compliance requests for the enterprise while also ensuring that the IT… more
- Washington Metropolitan Area Transit Authority (New Carrollton, MD)
- …Plans, Quality Assurance Program Plans, Audit Plans, and other quality program documentation. + Provide guidance and leadership to subordinates in ... Program Manager, Quality Assurance Job ID: 250152 Location: MD-Metro Bldg...more preferably a Black Belt certification. + Project Management Professional (PMP) certification **Medical Group:** Satisfactorily complete the medical… more
- Humana (Annapolis, MD)
- …community and help us put health first** The IFG Senior Compliance Professional ensures compliance with Health Plan contracts and governmental requirements. The ... Senior Compliance Professional work assignments involve moderately complex to complex issues...documentation for compliance activities, including reports, training materials, and audit findings. + Participate in the development of policies… more
- H&H (Annapolis, MD)
- …on the inspection of the project's quality control documents and system. The Quality Auditor will prepare audit reports and assessments and assist the ... assurance audits as needed for active projects + Provide monthly report of all project quality ...excellence + Basic background and understanding of QA/QC and quality management in a professional engineering /… more
- GAF (Baltimore, MD)
- …in the implementation and continuous improvement of the standardized supplier quality audit .* Lead the development, implementation, maintenance, and reporting ... and operational excellence. **Job Summary** The Manager of Supplier Quality will provide leadership to assess and...assist in the enhancement and execution of the supplier audit program, quality control processes (eg, standardized… more
- Johns Hopkins University (Baltimore, MD)
- …Serve as a leader and a role model. + Promotes Department image through quality work, sharing knowledge and professional dealings and maintain confidentiality of ... The Office of Internal Audit is seeking a **_Sr. Internal Auditor_** that... team, coordinate assignments, monitor productivity, and ensure high quality output. + Will serve as technical resource to… more
- Humana (Annapolis, MD)
- …this role is Medicare Pharmacy and Part D. The Senior Compliance Professional will analyze business requirements, provide research and regulatory interpretation, ... community and help us put health first** The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional… more
- Grant Thornton (Baltimore, MD)
- …principals, managing directors (PPMDs) and professionals in evaluating new opportunities ( audit or other) or existing relationships for a client (or prospect) ... companies. The individual should have strong understanding of the professional standards established by independence standard setters and regulatory bodies,… more
- Humana (Annapolis, MD)
- …and help us put health first** The Senior Contract Management Professional evaluates, drafts, and negotiates contracts and other related documents, including ... for Humana, its subsidiaries and affiliates. The Senior Contract Management Professional work assignments involve moderately complex to complex issues where the… more
- Elevance Health (Hanover, MD)
- …systems and reference information to make audit determinations and generate audit findings letters. + Maintains accuracy and quality standards as set ... + BA/BS preferred. + Experience with vendor based DRG Coding / Clinical Validation Audit setting or hospital coding or quality assurance environment preferred. +… more
- Elevance Health (Hanover, MD)
- …and reference information to generate audit determinations and formulate detailed audit findings letters. + Maintains accuracy and quality standards as ... coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of… more
- Amazon (Sparrows Point, MD)
- …Associates are trained and knowledgeable of their responsibilities under each policy. Audit the quality , delivery (including qualifications of the trainer), and ... Amazon Workplace Health & Safety (WHS) mission is to provide tools, resources, and environments that support safe, efficient,...you will serve as the site's designated first aid provider in the warehouse, coordinating and implementing the Amazon… more
- Highmark Health (Annapolis, MD)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more
- Deloitte (Baltimore, MD)
- Are you a highly experienced accounting or independence compliance professional ? Do you thrive on developing and motivating others and leading a team? Would you like ... to build off their existing experience auditor independence compliance, audit , or accounting, and use such knowledge to add...and use such knowledge to add value to Deloitte's quality assurance and risk management practice, expand their expertise… more